Vlasta Kudina, LPC, CADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

178019790 Issued in IL

Practice address

1502 W Chicago Ave
Chicago, IL 60642-5236

Phone

(312) 339-8604

NPI assigned

Jan 9, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spring Practices PLLC

  • Multi-Specialty Clinic/Center
  • Champaign, IL
  • NPI 1669910766
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1704758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704758400000",
    "number": "1225809346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2735 HASSERT BLVD # 135-301",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606425236",
            "telephone_number": "312-339-8604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDINA",
        "first_name": "VLASTA",
        "credential": "LPC, CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-09",
        "last_updated": "2024-01-09",
        "certification_date": "2024-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178019790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Kuczak, PHARMD
• Bartosz Kuczyc, DPT
• Padma Kudaravalli, M.D.
• Anne M Kudelka, MD
• Cindy Kudelka, LAC, MSTOM
• Frederick Pearce Kudlata, MD
• Elizabeth Kudlaty, MD
• Amy Kudlov, PTA
• Mesphina Kudowor, MA
• Jessie Kue Ndukwe, MD

• All providers in Chicago, IL
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.